Evidence map›Paper›PMID 32715844›Full record

Observational studyJournal of the American Heart Association2020

Prespecified Risk Criteria Facilitate Adequate Discharge and Long-Term Outcomes After Transfemoral Transcatheter Aortic Valve Implantation.

Mark S Spence, Jan Baan, Fortunato Iacovelli, Gian Luca Martinelli, Douglas F Muir, Francesco Saia, Alessandro Santo Bortone, Cameron G Densem, Colum G Owens, Frank van der Kley and 11 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02404467 (Feasibility And Safety of Early Discharge After Transfemoral Transcatheter Aortic Valve Implantation The FAST-TAVI Study), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02404467 completednot on this map

Feasibility And Safety of Early Discharge After Transfemoral Transcatheter Aortic Valve Implantation The FAST-TAVI Study

Typeobservational_patient_registrySponsorInstitut für Pharmakologie und Präventive MedizinRan2015 to 2019Enrolled502ConditionsAortic StenosisArmsTF TAVI
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. The implementation of a streamlined TAVI patient pathway across five European countries: BENCHMARK registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 11 institutions in 5 countries.

Mark S SpenceCardiology Department Royal Victoria Hospital Belfast United Kingdom.
Jan BaanDepartment of Cardiology Amsterdam UMCUniversity of Amsterdam The Netherlands.
Fortunato IacovelliCardiology Department Department of Advanced Biomedical Sciences University of Naples Italy.
Gian Luca MartinelliCardiology Department "Montevergine" Clinic Mercogliano Italy.
Douglas F MuirCardiothoracic Division The James Cook University Hospital Middlesbrough United Kingdom.
Francesco SaiaCardiovascular and Thoracic Department S. Orsola-Malpighi University Hospital Bologna Italy.
Alessandro Santo BortoneCardiology Department University of Bari "Aldo Moro" Bari Italy.
Cameron G DensemCardiology Department Papworth Hospital Cambridge United Kingdom.
Colum G OwensCardiology Department Royal Victoria Hospital Belfast United Kingdom.
Frank van der KleyCardiology Department Leiden University Medical Center Leiden The Netherlands.
Marije VisDepartment of Cardiology Amsterdam UMCUniversity of Amsterdam The Netherlands.
Martijn S van MourikDepartment of Cardiology Amsterdam UMCUniversity of Amsterdam The Netherlands.
Giuliano CostaCatania Division of Cardiology Policlinico-Vittorio Emanuele HospitalUniversity of Catania Italy.
Lenka SykorovaEdwards-Lifesciences Prague Czech Republic.
Claudia M LüskeInstitute for Pharmacology and Preventive Medicine Cloppenburg Germany.
Cornelia DeutschInstitute for Pharmacology and Preventive Medicine Cloppenburg Germany.
Jana KurucovaEdwards-Lifesciences Prague Czech Republic.
Martin ThoenesEdwards-Lifesciences Nyon Switzerland.
Peter BramlageInstitute for Pharmacology and Preventive Medicine Cloppenburg Germany.
Corrado TamburinoCatania Division of Cardiology Policlinico-Vittorio Emanuele HospitalUniversity of Catania Italy.
Marco BarbantiCatania Division of Cardiology Policlinico-Vittorio Emanuele HospitalUniversity of Catania Italy.
Amsterdam University Medical Centers · NLIPPMed (Germany) · DEUniversity of Catania · ITUniversity of Ulster · GBEdwards Lifesciences (Switzerland) · CHIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITJames Cook University Hospital · GBLeiden University Medical Center · NLPapworth Hospital · GBUniversity of Bari Aldo Moro · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Despite the availability of guidelines for the performance of transcatheter aortic valve implantation (TAVI), current treatment pathways vary between countries and institutions, which impact on the mean duration of postprocedure hospitalization. Methods and Results This was a prospective, multicenter registry of 502 patients to validate the appropriateness of discharge timing after transfemoral TAVI, using prespecified risk criteria from FAST-TAVI (Feasibility and Safety of Early Discharge After Transfemoral [TF] Transcatheter Aortic Valve Implantation), based on hospital events within 1-year after discharge. The end point-a composite of all-cause mortality, vascular access-related complications, permanent pacemaker implantation, stroke, cardiac rehospitalization, kidney failure, and major bleeding-was reached in 27.0% of patients (95% CI, 23.3-31.2) within 1 year after intervention; 7.5% (95% CI, 5.5-10.2) had in-hospital complications before discharge and 19.6% (95% CI, 16.3-23.4) within 1 year after discharge. Overall mortality within 1 year after discharge was 7.3% and rates of cardiac rehospitalization 13.5%, permanent pacemaker implantation 4.2%, any stroke 1.8%, vascular-access-related complications 0.7%, life-threatening bleeding 0.7%, and kidney failure 0.4%. Composite events within 1 year after discharge were observed in 18.8% and 24.3% of patients with low risk of complications/early (≤3 days) discharge and high risk and discharged late (>3 days) (concordant discharge), respectively. Event rate in patients with discordant discharge was 14.3% with low risk but discharged late and increased to 50.0% in patients with high risk but discharged in ≤3 days. Conclusions The FAST-TAVI risk assessment provides a tool for appropriate, risk-based discharge that was validated with the 1-year event rate after transfemoral TAVI. Registration URL: https://www.ClinicalTrials.gov; Unique identifier: NCT02404467.

Indexed as

Patient DischargeRegistriesEuropeHumansPostoperative ComplicationsProspective StudiesTranscatheter Aortic Valve Replacementaortic stenosisaortic valve implantationdischargeriskvalidation

Identifiers

PMID32715844
PMCPMC7792272
OpenAlexW3044462604

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.